Jurnal Medali
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Pharmacological Properties Of Medinilla Speciosa With Potential Relevance To Oral Health: A Scoping Review
No full textABSTRACT Background: Oral health is sustained under the control of a dynamic balance between oral microorganisms, host immunity, and oral tissue. Loss of this balance leads to microbial dysbiosis and inflammation associated with many oral diseases. Multitarget agents such as herbal medicine are therefore being increasingly explored, as conventional medicine can lead to some side effects. Medinilla speciosa (Parijoto), an endemic Indonesian medicinal plant, has been reported to possess diverse pharmacological activities. However, its relevance to oral health has not been systematically synthesized.Method: A scoping review was carried out using PubMed, ScienceDirect, Google Scholar, and Semantic Scholar using the search keyword: “Medinilla speciosa” AND (antibacterial OR antioxidant OR anti-inflammatory). The pharmacological activity of Medinilla speciosa was recorded in studies.Result: A total of 253 papers were found 6 papers were selected after rigorous selection process based on the PRISMA scoping review technique. Those studies shows the antibacterial impact on pathogenic bacteria, antioxidant properties, immunomodulation, anti-inflammation. Additionally, although no research has examined the impact of these extracts on oral tissues or models of oral diseases, their pharmacological properties are intriguing in terms of their local control of bacteria, modulation of inflammation, oxidative stress reduction, and tissue repair.Conclusion: Current evidence suggests that Medinilla speciosa exhibits multitarget pharmacological activities with potential relevance to oral health. However, oral-specific experimental and clinical studies are needed for the further validation of its application in dentistry and oral medicine
Management of Overdenture in a Case of Partial Maxillary Tooth Loss and Complete Mandibular Tooth Loss
No full textBackground: Extensive tooth loss may impair masticatory function, esthetics, and quality of life, and can accelerate alveolar bone resorption. Overdentures represent a prosthodontic treatment option that preserves remaining teeth or root remnants as supporting structures, thereby improving prosthesis stability and maintaining the supporting tissues.Objective: To report the management of extensive tooth loss using tooth- and root-supported overdentures, with consideration of clinical conditions and patient preferences.Case Report: A 53-year-old male patient presented with a chief complaint of difficulty in mastication due to extensive tooth loss in the maxillary and mandibular arches. Clinical and radiographic examinations revealed the presence of several teeth and root remnants with periodontal conditions that were still suitable for preservation. The treatment was performed in stages, including periodontal and endodontic therapy, extraction of teeth with poor prognosis, and prosthodontic rehabilitation using removable partial dentures combined with bare-root overdentures and non-retentive short coping overdentures.Results: After prosthesis insertion, the patient demonstrated improved masticatory function, comfort, and overall satisfaction. Clinical evaluation showed good adaptation, retention, and stability of the overdentures, with no complaints of pain or soft tissue irritation.Conclusion: Tooth- and root-supported overdentures are an effective treatment option for patients with extensive tooth loss when suitable abutments remain. This approach provides favorable functional and psychological outcomes when supported by appropriate preliminary treatment and regular maintenance
Aesthetic Treatment Of Maxillary Central Diastema Due To Differences In Teeth And Jaw Sizes With Removable Orthodontics
No full textBackground: The aesthetic treatment of maxillary central diastema due to differences in tooth and jaw size is an important component of orthodontic treatment. Tooth size and shape are crucial factors that affect the smile and face in treatment results. From an orthodontic perspective, evaluating the ideal mesiodistal width of teeth in relation to the upper and lower jaw arches is necessary to plan for proper occlusion, aesthetics, and functionality.Case: A 19-year-old woman came to RSIGM Sultan Agung complaining that her upper front teeth appeared spaced apart and affected her appearance. The patient's medical history showed that he was in good general health. Extraoral examination was within normal limits. Intraoral examination revealed a diastema between the upper central incisors, normal frenulum attachment, an overjet of 3.4 mm, and an overbite of 3.1 mm. Analysis of the working model revealed a positive arch length discrepancy in the upper jaw, while other analysis results were within normal limits. The etiology of the diastema in this case was the size of the available dental arch and normal tooth size. The patient underwent treatment for central diastema using removable orthodontic appliances equipped with active and passive devices, as well as additional finger spring components to mesialize teeth 11 and 12 and close the maxillary central diastemaConclusion: Esthetic treatment of maxillary central diastema caused by differences in tooth and jaw size can be performed using removable orthodontic appliances with additional finger spring components. Patient cooperation during treatment and retention appliances are necessary to achieve stable long-term orthodontic result
Analysis of Patient Satisfaction and Quality of Life (OHRQoL) in Pulp Necrosis Patients After Root Canal Treatment
No full textBackground: Pulp necrosis, a common dental issue, significantly impacts quality of life, making effective root canal treatment essential for addressing pain, infection, and psychological distress. This study aimed to analyze the relationship between patient satisfaction and Oral Health-Related Quality of Life (OHRQoL) following root canal treatment, providing insights to improve dental care and patient outcomes.Methods: This study employed a cross-sectional design, involving 118 patients with pulp necrosis who had completed root canal treatment at Sultan Agung Dental and Oral Hospital in Semarang. Data were collected using a validated patient satisfaction questionnaire and the OHIP-14 to assess Oral Health-Related Quality of Life (OHRQoL). Descriptive analysis and Spearman’s correlation test were used to evaluate demographic characteristics, satisfaction levels, and the relationship between satisfaction and OHRQoL, with significance set at p<0.05.Results: The study found that most respondents were female (59.3%), aged 26–35 years (35.6%), and held a diploma or bachelor's degree (53.4%), with an average high patient satisfaction score of 4.33 ± 0.6. Significant improvements in Oral Health-Related Quality of Life (OHRQoL) were observed after root canal treatment, with all OHIP-14 domain scores decreasing significantly (p < 0.001).Conclusion: The study concluded that the success of root canal treatment was closely linked to patient satisfaction and quality of life improvements, influenced by clinical effectiveness, dentist-patient interactions, and non-clinical factors like cost and accessibility
Combined Effects Of Aloe Vera And Manuka Honey On IL-6 Level In Periodontitis-Induced Rats
No full textABSTRACTBackground: Periodontitis is a multifactorial inflammatory condition that progressively damages the tooth-supporting structures, including the alveolar bone and periodontal ligament. This process involves a rise in pro-inflammatory cytokines, such as IL-6, which are essential agents in the inflammation and tissue destruction. Aloe vera (Aloe vera) and manuka honey are recognized for their ability to reduce inflammation and suppress the release of pro-inflammatory signaling molecules, such as IL-6. This study aims to evaluate the effectiveness of the combination of Aloe vera and Manuka honey in reducing IL-6 level in periodontitis rats.Method: Thirty rats were randomly assigned to four experimental groups: a control group, Aloe vera group, Manuka Honey group, and a group receiving a combination of Aloe vera and Manuka Honey. The Aloe vera and Manuka Honey treatments were administered via a gingival injection at a dose of 150 uL. After five days treatment, the rats were euthanized. An ELISA (Enzyme-Linked Immunosorbent Assay) was conducted on the gingival tissue to measure the concentration of Interleukin-6 (IL-6).Result: The combination of Manuka honey and Aloe Vera significantly reduced IL-6 levels compared to the control group (p=0.000).Conclusion: The combination of Aloe Vera and manuka honey are effectively and significantly reduced on IL-6 level
THE RELATIONSHIP BETWEN AGE AND ORAL HEALTH BEHAVIOR AMONG INTEGRATED HEALTH POST CADRES IN SENDANGMULYO VILLAGE IN THE WORKING AREA OF KEDUNGMUNDU COMMUNITY HEALTH CENTER
No full textABSTRACT Background: Dental and oral health refers to the condition of a healthy oral cavity, which includes the health of the soft tissues and hard tissues of the teeth, so that an individual can eat, speak, and engage socially without being hindered by functionality and aesthetics, allowing individuals to lead a productive life both socially and financially. This study aims to determine the relationship between age and dental and oral health behaviors, which include levels of knowledge, attitudes, and practices, among posyandu cadres in Sendangmulyo Village, the working area of Kedungmundu Public Health Center.Method: This research uses observational analysis with a cross-sectional design and the sampling method is simple random sampling with a total sample size of 63 people. Statistical analysis uses the Chi-square test. Result: The results of the Chi-Square correlation statistical test showed a p-value of 0.005, indicating a relationship between age and dental and oral health behavior, which includes levels of knowledge, attitudes, and practices among posyandu cadres.Conclusion: It was concluded that there is a significant relationship between age and dental and oral health behavior, which includes levels of knowledge, attitudes, and practices, among the posyandu cadres in Sendangmulyo village, the working area of Kedungmundu Health Center. ABSTRACTBackground: Dental and oral health refers to the condition of a healthy oral cavity, which includes the health of the soft tissues and hard tissues of the teeth, so that an individual can eat, speak, and engage socially without being hindered by functionality and aesthetics, allowing individuals to lead a productive life both socially and financially. This study aims to determine the relationship between age and dental and oral health behaviors, which include levels of knowledge, attitudes, and practices, among posyandu cadres in Sendangmulyo Village, the working area of Kedungmundu Public Health Center.Method: This research uses observational analysis with a cross-sectional design and the sampling method is simple random sampling with a total sample size of 63 people. Statistical analysis uses the Chi-square test. Result: The results of the Chi-Square correlation statistical test showed a p-value of 0.005, indicating a relationship between age and dental and oral health behavior, which includes levels of knowledge, attitudes, and practices among posyandu cadres.Conclusion: It was concluded that there is a significant relationship between age and dental and oral health behavior, which includes levels of knowledge, attitudes, and practices, among the posyandu cadres in Sendangmulyo village, the working area of Kedungmundu Health Center
Relationship Between Nutritional Status Based On Bmi/Age To The Total Number Of Oral Bacteria In Children Aged 5-12 Years (Analytical Study At Sdn Bandarharjo 02 North Semarang)
No full textBackground: Unbalanced nutritional intake can affect the occurrence of disorders in the oral cavity, such as disorders of the function and structure of the soft tissues of the mouth, especially at the corners of the lips and tongue so that microbial growth increases due to the decomposition of food. BMI/U is a nutritional status assessment index that is often used to detect nutritional problems in children. Accumulation of bacteria in the oral cavity causes poor oral hygiene and causes the development of microbes that can lead to inflammation. Aim: This study aims to determine the relationship between nutritional status based on BMI/AGE and the total number of bacteria in the oral cavity of children aged 5-12 years. Mthode: The research method used is observational analytical research with laboratory experiments. The research subjects required were 100 children, aged 5-12 years. The sampling technique used purposive sampling. Results: From the results of the data analysis, a significance value of 0.028 was obtained (p <0.05). Conclusion: The conclusion of this study is that there is a unidirectional correlation between nutritional status and the number of bacteria in the oral cavity of children.Background: Unbalanced nutritional intake can affect the occurrence of disorders in the oral cavity, such as disorders of the function and structure of the soft tissues of the mouth, especially at the corners of the lips and tongue so that microbial growth increases due to the decomposition of food. BMI/U is a nutritional status assessment index that is often used to detect nutritional problems in children. Accumulation of bacteria in the oral cavity causes poor oral hygiene and causes the development of microbes that can lead to inflammation. Aim: This study aims to determine the relationship between nutritional status based on BMI/AGE and the total number of bacteria in the oral cavity of children aged 5-12 years. Method: The research method used is observational analytical research with laboratory experiments. The research subjects required were 100 children, aged 5-12 years. The sampling technique used purposive sampling. Results: From the results of the data analysis, a significance value of 0.028 was obtained (p <0.05). Conclusion: The conclusion of this study is that there is a unidirectional correlation between nutritional status and the number of bacteria in the oral cavity of children
The Relationship Between Patients’ Sociodemographic Factors And The Selection Of Prosthetic Rehabilitation Treatment
No full textBackground: The success of prosthodontic rehabilitation can be achieved by paying close attention to both subjective and objective examination. Patients’ preferences for the type of prosthesis are also influenced by sociodemographic factors. Sociodemography refers to the background characteristics of each individual. The purpose of this study was to investigate the association between sociodemographic factors including age, gender, occupation and location of residence that may influence the selection of prosthesis type. Method: Cross-sectional study utilized a non-probability sampling method with total of 52 patients who met the inclusion and exclusion criteria, and required partial denture prosthodontic rehabilitation. Data of patiens were collected from the Universitas Airlangga Dental Hospital from 2019 - 2025.Result: Among all study participants, majority of study participants were female and chose fixed partial denture. Sociodemographic factor influencing treatment selection included gender (p = 0.015) and edentulous site (p = 0.034), both of which showed a statistically significant association with the overall patient choice.Conclusion: gender and edentulous site of the ridge were significantly correlated as factors affecting the prosthesis choice of the patients
Dental And Oral Health Of Students With Intellectual Disabilities
No full textBackground: Dental and oral health refers to the condition of the oral cavity and periodontal tissues being free from disease and pain. Optimal function of these structures indicates good oral health. Dental and oral health status can be expressed by the prevalence of dental caries and periodontal disease, assessed through indices such as def-t/DMF-T, OHI-S, and Gingival Index. This study aimed to determine the levels of def-t/DMF-T, OHI-S, and Gingival Index, and to describe the overall dental and oral health status among students with intellectual disabilities at Grobogan State Special SchoolMethod: This study employed a descriptive observational design with a non-experimental, cross-sectional approach to describe existing conditions through direct observation. A total of 52 students with intellectual disabilities were included using a total sampling technique.Result: DMF-T/def-t examination showed unsatisfactory findings, with the highest proportion of respondents categorized as very high (30.77%) and high (21.15%). The OHI-S examination indicated a moderate level, with most respondents (44.23%) falling within this category. The Gingival Index revealed generally good results, with the largest proportion categorized as normal (46.15%).Conclusion: Highest percentages of OHI-S and Gingival Index were found among students with moderate physical intellectual disabilities, while the highest def-t/DMF-T scores (very high category) were found among those with sensory intellectual disabilitie
Correlation Between Periodontal Pocket Depth And Periodontal Disease In Down Syndrome Considering Age, Sex, Nutrition, Toothbrushing
No full textBackground: Down syndrome is a genetic disorder with a high prevalence of periodontal disease. Increased periodontal pocket depth is one of the important indicators in assessing periodontal tissue damage. Factors such as age, sex, nutritional status, and toothbrushing practice are thought to influence periodontal conditions in individuals with Down syndrome. This study aims to analyze the relationship between these factors and periodontal pocket depth values in individuals with Down syndrome.Method: This study used an analytical observational design with a cross-sectional approach involving 40 respondents who met the inclusion criteria. Clinical examination of periodontal pocket depth was carried out using a WHO probe at six points of each tooth. Nutritional status data were obtained through body mass index (BMI) measurements, while toothbrushing practice and respondent characteristics were obtained through structured interviews. Data analysis included Spearman and Chi-square tests with a significance level of p<0,05.Result: The results showed a significant relationship between age (p=0.000; r=0.646) and toothbrushing practice (p=0.008; r=0.412) with periodontal pocket depth. Meanwhile, sex (p=0.726) and nutritional status (p=0.679) did not show a significant relationship with periodontal pocket depth in individuals with Down syndrome.Conclusion: The results showed a significant relationship between age (p=0.000; r=0.646) and toothbrushing practice (p=0.008; r=0.412) with periodontal pocket depth. Meanwhile, sex (p=0.726) and nutritional status (p=0.679) did not show a significant relationship with periodontal pocket depth in individuals with Down syndromeBackground: Down syndrome is a genetic disorder with a high prevalence of periodontal disease. Increased periodontal pocket depth is one of the important indicators in assessing periodontal tissue damage. Factors such as age, sex, nutritional status, and toothbrushing patterns are thought to influence periodontal conditions in individuals with Down syndrome. This study aims to analyze the relationship between these factors and periodontal pocket depth values in individuals with Down syndrome.Method: This study used an analytical observational design with a cross-sectional approach involving 40 respondents who met the inclusion criteria. Clinical examination of periodontal pocket depth was carried out using a WHO probe at six points of each tooth. Nutritional status data were obtained through body mass index (BMI) measurements, while toothbrushing patterns and respondent characteristics were obtained through structured interviews. Data analysis included Spearman and Chi-square tests with a significance level of p<0,05.Result: The results showed a significant relationship between age (p=0.000; r=0.646) and toothbrushing patterns (p=0.008; r=0.412) with periodontal pocket depth. Meanwhile, sex (p=0.726) and nutritional status (p=0.679) did not show a significant relationship with periodontal pocket depth in individuals with Down syndrome.Conclusion: The results showed a significant relationship between age (p=0.000; r=0.646) and toothbrushing patterns (p=0.008; r=0.412) with periodontal pocket depth. Meanwhile, sex (p=0.726) and nutritional status (p=0.679) did not show a significant relationship with periodontal pocket depth in individuals with Down syndrom